KELLY ANNE ELLISON
NPI 1265823843
Nurse Practitioner - Family in Weatherford, TX
About Kelly Anne Ellison NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANNE ELLISON (NPI 1265823843) is an individual family provider in Weatherford, Texas, licensed in Texas (AP127337) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Southlake, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Anne Ellison is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Ellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76244
- Reassigned Medicare billing, Texas enrollment
- 146 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Ellison's NPI number?
The NPI number for Kelly Ellison is 1265823843. It was assigned to this individual provider in the NPPES registry on February 18, 2015.
Where is Kelly Ellison located?
Kelly Ellison practices at 1980 S Main St, Weatherford, TX 76086. The listed phone number is (817) 598-5616.
What is Kelly Ellison's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Ellison enrolled in Medicare?
Yes. Kelly Ellison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelly Ellison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Ellison reassigns Medicare benefits to Texas Health Urgent Care (Fort Worth, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Ellison was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelly Anne Ellison · NPI 1265823843
Family physician in Weatherford, Texas. Individual provider, active in the CMS NPPES registry since February 18, 2015.
## Identity
- **NPI:** 1265823843 (Entity type: Individual)
- **Enumerated:** February 18, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP127337 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1980 S MAIN ST, Weatherford, TX 76086-5508
- **Phone:** (817) 598-5616
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Texas Health Urgent Care (NPI 1619636271, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 7, 2025
- **Other identifiers:** Medicaid PENDING (TX); Other PENDING (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1265823843) · Data from the CMS NPPES public registry.